We have put together a list of frequently asked questions and our responses to these questions that would help you make a more informed decision for your dental implants.
Why do we need implants?
Replacement of the lost tooth post extraction is important in order to restore chewing ability, function and aesthetics. Moreover, it also affects the psychological and self-esteem of a person. Furthermore, the bone in the extracted socket begins to resorb post extraction in the event that the missing tooth is not replaced. Hence, the prevention of bone loss can be achieved via the placement of dental implants.
How different is Immediate implants from conventional dental implants?
Placing conventional implants implies that the procedure can last anywhere between three to twelve months along with several appointments with the dentist in order to complete the entire process. Yet, when appropriate, immediate implants can help shorten the total treatment period and reduce the overall number of visits, thus benefitting the patient.
Immediate implant placement and immediate loading is when an implant is placed at the same time as the natural tooth is extracted, thus resulting in a single visit appointment where the extraction and implant placement is done at the same time hence resulting in the reduced inconvenience towards the patient. Immediate implants was introduced with the concept of seeking to assist patients who want to be treated in an efficient and expedient manner. Patients who, when seeking a solution, prefer a safe and effective treatment that can be performed in the shortest possible time and with as little pain and discomfort as possible. These implants engage mechanically into the cortical bone and do not require osseointegration unlike conventional implants and hence there is no need for bone grafts in these cases. There are many long term follow up studies (>10 days) since 1976 that have reported its success and high survival. In suitable cases, the immediate placement of the implant and its immediate loading offer several benefits to the patients that include shorter treatment time and significantly reduced time.
Since the procedure occurs within a span of 3 days, it can help restore aesthetics immediately and can therefore offer a suitable solution for high patient satisfaction, when clinically indicated. In immediate loading, it excludes the use of bone grafting procedures and complex surgical intervention that may otherwise be required in cases of resorbed ridges. The one-stage technique offers a simplified surgical workflow and requires only one surgery instead of two. The basal implants get their anchorage from the basal bone whereas conventional implants gets their anchorage from the alveolar bone.
Since the BCS implants are thin and smooth they are perfect design to perform flapless key hole implant placement (without opening the gum). This is called Minimally Invasive Implant Dentistry or Keyhole dental implants. Moreover, these implants can be placed into fresh extraction sockets even if the extracted tooth was highly decayed and resulted into an abscess or if the tooth was extremely mobile. Immediate implants can also be placed in smokers as well as patients with controlled diabetes. These implants can also be immediately loaded within a period of 3-5 days since they heal in a better way when they are loaded immediately with the close collaboration between an oral surgeon, prosthodontist and lab technician.
Is Basal implant procedure more expensive than conventional implants?
The costs of implants depends upon several factors. Basal implants do not require bone augmentation procedures and hence preclude the use of bone grafts and any additional surgeries that ultimately reduce the treatment costs by 35%. Our long term studies have reported a high success rate with its use and the implants have stayed in place even 10 years after placement.
What happens if an implant becomes mobile?
In such situations, you should contact your Implantologist immediately, however sometimes, it is just simply a reaction of the bone to inappropriate loading or overloading. Only a strategic implantologist can place basal implants. The advantage of basal implants compared to any screw implants is that the bone remodeling process occurs deep inside the sterile bone, while if a traditional implant becomes mobile, pathogens will quickly enter the zone where the implant emerges from the gums, resulting in bone infection and, ultimately, implant loss.
Will my health insurer pay the bill?
This depends on your insurance plan. In most countries state insurances do not pay implants at all.
What will the treatment cost?
The cost depends upon the extent of the procedure and the location. Often, we offer a fixed rate for the complete treatment step, which includes the implants, prosthetical workpieces and the guarantee. However, keep in mind, that no guarantee can be given for “healing” of the patient’s organs nor bone. The term “guarantee” means therefore in our field, that another free-of-charge treatment attempt is performed.
Do I need to go to the hospital and get operated under general anaesthesia?
These implants are placed on an outpatient basis and mild sedation can be administered if required. Moreover, general anaesthesia is not necessary. However, if on request, it can be administered in cooperation with an anaesthesiologist.
Is the basal implant procedure painful?
Basal implants are implanted in a different way as compared to conventional implants, hence the pain associated with it is minor or negligible. The amount of swelling may vary from patient to patient. Since these implants are placed flapless and do not require any bone grafting or additional surgeries, the discomfort associated with it is very negligible. The surgery is done under local anesthesia that is why during the implantation of implant the patient feels nothing, and as the tissues are not practically traumatized, the rehabilitation period passes quite easily and without pain.
What material is the basal implant made of?
Like most other commercially available dental implants, basal implants are made of pure titanium and some designs are available in bone-compatible, strong plastic.
How long will the treatment process take for the whole jaw?
The surgical procedure can take anywhere between half an hour to 120 minutes per one jaw, depending on the location and number of implants required. In addition, extra time would be required for the fabrication and insertion of the provisional bridges and/or crowns that allow you to eat again directly on the day of the operation. And another 2-3 days in order to complete the prosthetic treatment.
